-
Article
Pain and brachial plexus lesions: evaluation of initial outcomes after reconstructive microsurgery and validation of a new pain severity scale
Peripheral nerve lesions usually are associated with neuropathic pain. In the present paper, we describe a simple scale to quantify pain after brachial plexus injuries and apply this scale to a series of patie...
-
Chapter
Facial–Hypoglossal Nerve End-to-Side Neurorrhaphy: Anatomical Study in Rats
End-to-side neurorrhaphy (ESN) is presented as a sort of surgical technique for nerve repair that has the aim to obtain a good reinnervation of the recipient nerve and function preservation of the donor nerve....
-
Chapter
Exposure of the Sciatic Nerve in the Gluteal Region Without Sectioning the Gluteus Maximus: An Anatomical and Microsurgical Study
Background: Complete sectioning of the gluteus maximus muscle is an extensive procedure when approaching the sciatic nerve in the buttock, resulting in significant morbidity and a prolonged postope...
-
Article
Integrated Pain-Severity Scale and different kinds of pain in brachial plexus injuries
-
Article
Use of long autologous nerve grafts in brachial plexus reconstruction: factors that affect the outcome
Using grafts directed to distal targets in brachial plexus reconstruction has the advantage over proximal targets of avoiding axonal dispersion. A long graft (more than 10 cm) is needed to reach most distal ta...
-
Article
Surgical treatment of typical peripheral schwannomas: the risk of new postoperative deficits
Although peripheral schwannomas can be resected without postoperative neurological complications, surgeons must anticipate the possibility that new neurological deficits could develop. In order to evaluate the...
-
Article
Spinal to accessory nerve transfer in traumatic brachial plexus palsy: is body mass index a predictor of outcome?
Several factors that affect functional recovery after surgery in severe brachial plexus lesions have been identified, i.e., time to surgery and presence of root avulsions. The body mass index (BMI) of the pati...
-
Article
Influence of body mass index on the outcome of brachial plexus surgery: are there any differences between elbow and shoulder results?
Body mass index (BMI) has recently been identified as a predictor of outcomes following reconstructive surgery of shoulder palsies. In this study, we sought to determine if the same holds true for the reconstr...
-
Article
The phrenic nerve as a donor for brachial plexus injuries: is it safe and effective? Case series and literature analysis
Controversy exists surrounding the use of the phrenic nerve for transfer in severe brachial plexus injuries. The objectives of this study are: (1) to present the experience of the authors using the phrenic ner...
-
Article
Treatment of complete facial palsy in adults: comparative study between direct hemihypoglossal-facial neurorrhaphy, hemihipoglossal-facial neurorrhaphy with grafts, and masseter to facial nerve transfer
The hypoglossal (with or without grafts) and masseter nerves are frequently used as axon donors for facial reinnervation when no proximal stump of the facial nerve is available. We report our experience treati...
-
Article
Use of ultrasound and targeted physiotherapy in the management of a nerve suture performed under joint flexion
In 1915, when Delorme described three general requirements for successful nerve repair—(1) resecting scar until a healthy bed is secured, (2) excising damaged nerve until healthy stumps are reached, and (3) pl...
-
Article
Differences in strength fatigue when using different donors in traumatic brachial plexus injuries
The purpose of this study was to assess the results of elbow flexion strength fatigue, rather than the maximal power of strength, after brachial plexus re-innervation with phrenic and spinal accessory nerves. ...
-
Chapter
Complications after Tumor Resection
Peripheral nerve tumors are an important field in peripheral nerve surgery. It is important to know how to resect them and the complications that can occur secondary to the procedure. Many complications can be...
-
Chapter
Genetic Aspects of Peripheral Nervous System Tumors
Advances in genetics with the developments in informatics and imaging allowed refining the classification of peripheral nerve tumors, often with important prognostic and treatment implications. In 2016, the Wo...
-
Article
Use of ultrasound and targeted physiotherapy to manage nerve sutures placed under joint flexion: a case series
Joint flexion to diminish the gap and avoid nerve grafts fell into disuse for decades, but recently attention for using this technique was regained. We report a case series of nerve suture under joint flexion,...